Ditzler, Kimberly Anne

Ditzler, Kimberly Anne is an sole proprietor health care provider with primary practice located at 300 Main St Ste 201 , Grand Junction CO 81501. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ditzler, Kimberly Anne can be contacted via phone (970) 549-1182.

Contact Information

Primary practice address
300 Main St Ste 201 Grand Junction CO 81501
Phone: (970) 549-1182
Fax: (970) 549-1400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPP.0001432 Colorado
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPCC.0014784 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0014854 Colorado

Profile Details

NPI number 1881147387
LBN Legal business name Ditzler, Kimberly Anne
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2016
Last updated Jul 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881147387 NPPES
Colorado Other 0014854 STATE LICENSURE

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